Organization
ASSOCIATED WESTSIDE OPTOMETRIC CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS JAMES HILBORN (OWNER)
(208) 529-4333
Entity
Organization
Contact information
Practice address
1991 W BROADWAY ST STE 2, IDAHO FALLS, ID 83402-3041
(208) 529-4333
Mailing address
1991 W BROADWAY ST STE 2, IDAHO FALLS, ID 83402-3041
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-546
ID
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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